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CC BY 4.0 · European J Pediatr Surg Rep. 2019; 07(01): e12-e15
DOI: 10.1055/s-0039-1688486
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Salvage Laparoscopic-Assisted Anorectoplasty after Failed Vestibular Fistula Repair Using Magnetic Resonance Image Guidance

Matthew W. Ralls
1   Section of Pediatric Surgery, Department of Surgery, C.S. Mott Children's Hospital, University of Michigan, Ann Arbor, Michigan, United States
,
Brian P. Fallon
1   Section of Pediatric Surgery, Department of Surgery, C.S. Mott Children's Hospital, University of Michigan, Ann Arbor, Michigan, United States
,
Maria Ladino-Torres
2   Section of Pediatric Radiology, Department of Radiology, University of Michigan Medical School and C.S. Mott Children's Hospital, Ann Arbor, Michigan, United States
,
Peter F. Ehrlich
1   Section of Pediatric Surgery, Department of Surgery, C.S. Mott Children's Hospital, University of Michigan, Ann Arbor, Michigan, United States
,
Marcus D. Jarboe
1   Section of Pediatric Surgery, Department of Surgery, C.S. Mott Children's Hospital, University of Michigan, Ann Arbor, Michigan, United States
3   Division of Interventional Radiology, Department of Radiology, C.S. Mott Children's Hospital, University of Michigan, Ann Arbor, Michigan, United States
› Author Affiliations
Further Information

Publication History

14 January 2019

23 March 2019

Publication Date:
23 May 2019 (online)

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Abstract

Patients with vestibular fistula have a good functional outcome after posterior sagittal anorectoplasty (PSARP). While continence is often preserved, close follow-up and management of constipation are often required. Redo anorectal surgery has been associated with worse functional outcomes compared with primary procedures, possibly due to injury and scarring of the pelvic floor musculature and sphincter complex. Our group has a growing experience in the use of intraoperative real-time magnetic resonance imaging (MRI) for anorectal malformation repairs. We present a case of salvage operation of a failed PSARP for vestibular fistula.

Keywords

posterior sagittal anorectoplasty - magnetic resonance imaging - image guidance - anorectal malformation - rectovestibular fistula
 

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